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Archived: The Calthorpe Clinic

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Inspection report

Date of Inspection: 20 January 2012
Date of Publication: 5 April 2012
Inspection Report published 5 April 2012 PDF | 67.17 KB

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 20/01/2012, observed how people were being cared for, looked at records of people who use services, talked to staff, reviewed information from stakeholders and talked to people who use services.

Our judgement

People receive the right care, at the right time, from the right staff.

User experience

We had previously received some concerns about staffing arrangements at the clinic. There had been some staff who had been dismissed or had left the clinic following disciplinary action taken by the provider.

We found that during our visit, staffing levels ensured that people's plans of care, treatment and support were being met. One person told us ‘’I’m part way through the process today and I have not had to wait too long. Things have not been rushed and staff have took their time with me. I have found the staff friendly.’’

During our visit, we spoke with nursing and medical staff and all had a good understanding of people's care needs. They were able to tell us what care and treatment people received and the reasons for this.

Staff told us that any staff shortages were usually covered by bank or agency staff. More recently, staffing had been improved. There was a new registered manager in post and an interview for an additional nurse was planned for the day of our visit.

Staff told us that the current staffing arrangements were satisfactory and they did not feel rushed when seeing people at the clinic. One member of staff told us ‘’We have had more cover recently but previously we had a lot of staff leave. Things have improved a lot over recent weeks.’’

Other evidence

There had been some staff shortages at the clinic. This had resulted in a small number of surgical treatments being cancelled and rescheduled in the interests of maintaining patient safety. The clinic had informed us when this had happened.

An infection control audit had made reference to a review of theatre timings being needed to make sure staff were not being pressurised to move from one patient to another. We found that the provider had introduced a new assessment to treatment to discharge process in the clinic, to provide more time for nursing and medical staff to complete consultations with people and ensure required tasks are completed. This had been supported by the introduction of a competency framework for support workers to develop the scope of their role to undertake a wider range of care and treatment tasks.